Now that India is close to reaching the elimination of visceral leishmaniasis, it will be key to have strong and well-functioning surveillance system in place in order to detect a potential increase in cases in a timely matter and react accordingly. Moreover certain specific subgroups of the disease, in particular post kala azar dermal leishmaniasis (PKDL) and VL-HIV co-infection, will become increasingly important because of their potential to trigger a resurgence, and should hence be included in the surveillance system.
In this study we will develop and evaluate a set of surveillance measures to be implemented at eight existing Primary Health Care centres in the four most affected states of India, with special attention to active case finding of HIV-VL co-infection and PKDL. During this study we will evaluate the feasibility within the existing health system as well as costs made. At the end of this study we hope to be able to provide a validated surveillance tool that can be realistically implemented in the Indian health system in order to monitor visceral leishmaniasis in the post-elimination phase.
Bern C, Courtenay O, Alvar J (2010) Of cattle, sand flies and men: a systematic review of risk factor analyses for South Asian visceral leishmaniasis and implications for elimination. PLoS Negl Trop Dis 4: e599.
Hasker E, Singh SP, Malaviya P, Singh RP, Shankar R, Boelaert M, Sundar S (2010) Management of visceral leishmaniasis in rural primary health care services in Bihar, India. Trop Med Int Health 15 Suppl 2: 55-62.
Prof Shyam Sundar
Prof. Jaya Chakravarty
Dr. Om Prakash Singh
Dr. Paritosh Malaviya
Dr Sangeeta Kansal
Prof. Marleen Boelaert
Dr Epco Hasker
Dr Kristien Cloots